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General NPI Number Information
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NPI Number | 1679868442
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Entity Type | Organization
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Legal Business Name | BRANDIS TRANSPORTATION SSERVICES
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 11631 SCOTTSDALE DR
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City | STAFFORD
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State | TX
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Zip | 77477-1816
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Country | US
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Telephone | 281-615-2855
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Fax |
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Provider Business Mailing Address
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Address Line | 11631 SCOTTSDALE DR
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City | STAFFORD
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State | TX
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Zip | 77477-1816
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Country | US
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Telephone | 281-414-2826
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Fax | 281-564-1423
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Authorized Official
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Title or Position | MANAGER
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Name | LEE GIBSON
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Credential |
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Telephone | 281-615-2588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 09541362
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License Number State | TX
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